Severe nondiabetic plantar mal perforant in an adolescent girl with anorexia nervosa

Purpose We describe the case of a severe skin ulcer of the heel in an adolescent girl hospitalised for anorexia nervosa (AN) associated with a severe excessive exercise. Methods This case report includes retrospective anamnestic and clinical data from the patient's medical record. A literature...

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Published inEating and weight disorders Vol. 27; no. 3; pp. 1229 - 1233
Main Authors Rezakhany, C., Guessoum, S. B., Moro, M. R., Blanchet, C.
Format Journal Article
LanguageEnglish
Published Cham Springer International Publishing 01.04.2022
Springer Nature B.V
Springer Verlag
Subjects
Adolescent
Ambulatory care
Anorexia
Anorexia Nervosa - complications
Anorexia Nervosa - psychology
Anxiety
Bulimia
Case Report
Cognitive science
Comorbidity
COVID-19
Eating disorders
Enteral nutrition
Fear & phobias
Female
Food
Hospitalization
Humans
Insomnia
Medicine
Medicine & Public Health
Nutrition
Obesity
Patients
Psychiatry
Psychology
Retrospective Studies
Risk Factors
Self destructive behavior
Skin
Teenagers
Ulcers
Weight control
Skin complications
Self-injury
Adolescent
Psycho-dermatology
Anorexia nervosa
Psychiatric comorbidity
Excessive exercise
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Summary:Purpose We describe the case of a severe skin ulcer of the heel in an adolescent girl hospitalised for anorexia nervosa (AN) associated with a severe excessive exercise. Methods This case report includes retrospective anamnestic and clinical data from the patient's medical record. A literature review was conducted on the dermatological changes described in AN. Conclusion Severe starving syndrome in AN due to intake restriction and pathological associated behaviours can cause serious somatic complications, including psycho-dermatological lesions. We describe a rare case of a nondiabetic plantar “mal perforant” resulting from multiple risk factors including prolonged undernutrition, excessive exercise, and significant psychiatric comorbidity with self-injury. We suggest that, in this context, one should include a particular attention to the risk of non-visible skin complications reflecting both the AN symptoms severity and the severity of the patient’s psychological distress requiring individualised and specialised multidisciplinary approach. Level of evidence Level V, case report
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Review-3
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ObjectType-Feature-5
ObjectType-Article-4
ObjectType-Report-1
ISSN:1590-1262
1124-4909
1590-1262
DOI:10.1007/s40519-021-01255-9